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771 <br /> STATE OF PEA PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> DEPARTMENT OF PE5TICID.Y-.REGULATION <br /> PR"EN"17C(REV.7194) <br />--Instructions.' Submit the-white-cony to-the Agricultural-Commissloner-within-10 days-ot month-following-application. - <br /> 200 <br /> MONTH ' YEAR 2 <br /> NURSERY 3 pop_1,A <br /> OPERATOR ID/PERWT NUMBER OPERATOR(GROWER) ADDRESS CITY ZIP CODE <br /> p,�-I�N1 �11 - 6'096X j G- '3 YL 7 <br /> SITE IDENTIFICATION NUMBER TOTAL PLANTED ACREAGE/UNITS COUNTY NUMBER SECTION TOWNSHIP RANG BASE 1 MERIDIAN <br /> r / S. d <br /> g <br /> 110 t t1 � 12 L 19 S 14 1-• 15 S M H <br /> COMMODITYISITE TREATED FIELD LOCATION <br /> 17 14 <br /> CHEMICAL OATErnME ACREAGWNITS APP. BLOCK EPA OR STATE REGISTRATION NUMBER TOTALMIODUCTUSEO DAYS RATE DILUTION PRODUCT AND MANUFACTURER <br /> CODE NUMBER APPLICATION TREATED METHOD OF (FROM LABEL) (CIRCLE ONE UNIT RBENTRY PER ACRE _ <br /> COMPLETED (CHECK APPLICABLE) OF MEASURE) �'��J <br /> 21 22 / 23 24ONE) 25 26 27 28 29 r� 31 . <br /> i 5 0O HER o `� -�^ LB Z)PT OT GA L_. r`�W L) _ o <br /> OR <br /> AIR <br /> OTHER C1 LB OZ PT OT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LS OZ PT OT GA - - <br /> GR 0 <br /> AIR <br /> OMER 8 L9 OZ PT OT GA <br /> GR ❑ <br /> AIR <br /> OTHER L9 OZ PT OT GA <br /> an <br /> AIR <br /> 8 <br /> OTHER❑ L9 OZ PT OT GA <br /> OR ❑ <br /> AIR ❑ <br /> nnlcp❑ <br /> - Lo OZ FT OT 3A _ <br /> GR <br /> AIA <br /> OTHER 8 LB OZ PT OT GA <br /> OR <br /> AIR <br /> OTHER LB OZ PT OT GA <br /> GR �] <br /> AIR O <br /> OTHER 0 LB OZ PT OT GA Q <br /> AIR <br /> 8 <br /> OTHER[]. L9 OZ PT OT GA <br /> OR g AP <br /> AIR id <br /> OTHER❑ LS OZ PT OT GA <br /> AGR. CMAM. '-;1MMS <br /> AIR <br /> OTHER LB OZ PT OT GA <br /> GR <br /> AIR <br /> orHEA❑ L9 OZ PT OT GA <br /> REPORT PREPARED 8Y f/�L��/�"' Y!'u . GATE Z REVIEWED BY <br /> Form Distribution: White copy--County Agricultural Commissioner, Pink copy--DPR; Canary--Appli torr ldenrod--Applicalor FOR AGENCY USE ONLY <br />